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General NPI Number Information
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NPI Number | 1639525959
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Entity Type | Individual
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Provider Name | TONIA WILLIAMS R.N.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 3421 MIKE PADGETT HWY
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City | AUGUSTA
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State | GA
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Zip | 30906-3815
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Country | US
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Telephone | 706-432-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 3757 OLD PETERSBURG RD APT. B
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City | MARTINEZ
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State | GA
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Zip | 30907-3337
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Country | US
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Telephone | 803-477-6159
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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